Gnomes, We're All Heart ID Badge holder. Graphic is 1.25 inch button that covers the retractable badge holder base. Graphic is covered with a protective Mylar layer for easy cleaning and long life. Available with a belt clip holder for secure fastening or an Alligator Swivel Clip for more convenient fastening. Also available in a breakaway lanyard with attached badge reel. Choose your Clip Style or the Lanyard from the pull down list. Stethoscope ID Tags will NOT fit Littman Cardiology stethoscopes and stethoscopes that have thicker tubing. Stethoscope tags are black in color and 1.5” in diameter. The graphics are 1.25” so there will be a small area of the tag that is not covered by the graphic. Color & Design Considerations: Colors as seen in your monitor may slightly vary from the actual product. Things like monitor settings, ink cartridges, and even the type of paper used affect the final result. Due to the handmade nature, the design placement may vary slightly. Returns or Exchanges: Per our shop policies, large orders as well as custom or personalized items are not eligible for refunds or exchanges as they are made to order. Large orders are orders consisting of 10 or more identical items. If you have any concerns please contact me prior to ordering. Orders totaling over $100 will require signature confirmation at delivery.